ABSTRACT
The aim of this study was to assess sporting and physical activities in patients who had undergone hip resurfacing. Our study included 117 patients who underwent hip resurfacing between 2003 and 2008. University of California at Los Angeles (UCLA) activity level and Oxford hip scores (OHS) were used. Sporting and physical activities of all patients were analysed pre- and postoperatively. The mean age at surgery was 54 years. The mean follow up was 30 months. There was statistically significant improvement in UCLA activity scores from 4.4 to 6.8 (p < 0.05) and Oxford hip scores from 43.4 to 17.7 following surgery. Eighty-seven percent of patients continued to take part in sporting activities following hip resurfacing. Our study has demonstrated that hip resurfacing can allow patients to remain extremely active.
Subject(s)
Arthroplasty, Replacement, Hip/rehabilitation , Hip Joint/surgery , Motor Activity , Osteoarthritis, Hip/surgery , Sports , Activities of Daily Living , Adult , Aged , Arthroplasty, Replacement, Hip/instrumentation , Arthroplasty, Replacement, Hip/methods , Device Removal , Female , Health Behavior , Health Status , Hip Joint/physiopathology , Hip Prosthesis , Humans , Male , Middle Aged , Osteoarthritis, Hip/physiopathology , Postoperative Period , Prosthesis Failure , Recovery of Function , ReoperationABSTRACT
The management of osteoarthritis of the hip in young active patients is challenging. We compared the functional outcomes and activity levels following hip resurfacing and uncemented THA in young active patients matched for age, gender and activity levels. Mean follow-up period was five years (4-7 years). Within each group there was a statistically significant improvement in the mean University of California at Los Angeles (UCLA) and Oxford Hip Score (OHS) scores following surgery. This study found no statistically significant difference in the levels of function (p= 0.82) or activity pursued (p= 0.60) after surgery between uncemented THA and hip resurfacing. The potential complications unique to hip resurfacing may be avoided by the use of uncemented THA which in itself has longer follow-up compared to resurfacing.
Subject(s)
Arthroplasty, Replacement, Hip/methods , Arthroplasty, Replacement, Hip/rehabilitation , Osteoarthritis, Hip/surgery , Osteotomy/methods , Prosthesis Design , Recovery of Function , Adult , Age Factors , Aged , Arthroplasty, Replacement, Hip/instrumentation , Female , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
We report a specific pattern of osteolysis around bone tunnels on the lateral cortex of the greater trochanter following abductor reattachment using a polyester suture. Radiographs of 395 patients who underwent cemented THA during a four year period between 1999 and 2003 were reviewed. 27 patients had abductor reattachment using number 5 Ethibond suture through bone tunnels. These patients displayed a predominantly osteolytic pattern of bone reaction around the greater trochanter bone tunnels. All patients were subsequently reviewed in clinic at 4-7 years following surgery. Three patterns of response were observed around the bone tunnels. Recognition of this unique osteolysis pattern may be important in the investigation of complications following cemented THA.
